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General NPI Number Information
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NPI Number | 1164108585
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Entity Type | Individual
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Provider Name | KRISTINA MCGINNIS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 10698 E. AUTUMN SAGE DR.
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 720-319-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 S LINCOLN ST STE 209
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City | LITTLETON
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State | CO
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Zip | 80122-2725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BEH-001214
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3015
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License Number State | TX
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